Senderoff E, Slovis A J, Moallem A, Kahn R E
J Thorac Cardiovasc Surg. 1976 Jan;71(1):142-6.
A case of anomalous origin of the left coronary artery from the pulmonary artery in a 5-year-old child is presented. Surgical correction by means of a direct subclavian-coronary anastomosis was performed at normothermic temperatures without cardiopulmonary bypass. Pre- and postoperative studies including angiography are presented. The rationale for this approach and its benefits are compared to previously utilized surgical techniques. We feel that this method is superior in that it creates a two-coronary system without utilizing prosthetic or vein bypass grafts. It thus can be used in infancy, allows for future growth and development, and is not subject to the inherent deficiencies of prosthetic or vein grafts. All 4 known cases of subclavian-coronary anastomosis previously reported are discussed.
本文介绍了一名5岁儿童左冠状动脉起源于肺动脉的病例。在常温下未使用体外循环，通过直接锁骨下动脉-冠状动脉吻合术进行了手术矫正。展示了包括血管造影在内的术前和术后研究。将这种方法的原理及其益处与先前使用的手术技术进行了比较。我们认为这种方法更优越，因为它无需使用人工血管或静脉搭桥就能建立双冠状动脉系统。因此，它可用于婴儿期，有利于未来的生长发育，且不存在人工血管或静脉移植物固有的缺陷。文中还讨论了先前报道的所有4例已知的锁骨下动脉-冠状动脉吻合术病例。
